Editor's Note Escalating administrative hurdles from insurers are heightening tensions between healthcare payers and providers who criticize the measures for threatening patient care, Modern Healthcare reported January 22. According to the article, policies attracting criticism include stringent prior authorization rules, claims denials, and new fees for appeals. For their part,…

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Editor's Note An EHR-integrated closed-loop clinical decision support system (CDSS) significantly reduced unnecessary preoperative testing, improved patient safety, and significantly reduced costs across two hospitals in Madrid, Spain. As detailed in a study published January 3 in npj digital medicine, this system demonstrates the potential of automated guidelines to optimize…

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Editor's Note Growing consolidation and private equity investments in healthcare are driving up costs, reducing access, and raising quality concerns, according to a new report from the Department of Health and Human Services (HHS). According to HHS’ January 15 announcement, the report stems from a tri-agency effort by HHS, the…

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Editor's Note Anyone who has attended the annual OR Business Management Conference understands the value of an intimate event focused exclusively on OR efficiency and profitability. However, even regular attendees are likely to find something new this at year’s conference, which is scheduled for February 10-12, 2025, at the Saddlebrook…

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Editor's Note Healthcare data inaccuracies occur at rates as high as 26.9% in hospitals, with related inefficiencies costing providers up to $20 million annually, HealthLeaders reported January 8. According to the article, these inaccuracies stem from factors such as data entry mistakes, outdated information, inconsistent data standards, and system integration…

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Editor's Note The US hospital industry continues to face significant financial and structural challenges despite signs of stabilization in 2024, according to a January 9 report from Kaufman Hall. Despite improved operating margins and stable credit outlooks from major rating agencies, a surge in transactions involving financially distressed organizations and…

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Editor's Note Patients fared worse in the wake of private equity acquisitions of US hospitals, according to research published January 9 in JAMA Network.  Over a decade-long analysis of 73 acquired hospitals and 293 matched controls, declines became more pronounced in the years following acquisition, researchers wrote. Key findings include:…

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Editor's Note Health insurance coverage of prosthetics remains inconsistent and often inadequate, KFF Health News reported January 6. As a result, many patients face coverage denials due to claims of lack of medical necessity or high costs despite significant advancements in prosthetic technology, such as microprocessor-controlled knees and myoelectric hands.…

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Editor's Note A bipartisan Senate Budget Committee report accuses private equity firms of prioritizing profits over patients, compromising care in underserved communities, CBS News reported January 7. The investigation scrutinized the operations of Leonard Green & Partners and Apollo Global Management, alleging widespread financial mismanagement and underinvestment in hospitals they…

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Editor's Note A study published in JAMA Surgery revealed that hospitals owned by private equity firms had significantly worse outcomes for esophagectomy patients compared to non-acquired hospitals. As detailed in a January 2 report on the findings in MedPage Today, the analysis of over 9,000 cases highlights disparities in 30-day…

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